Organization
LAC DENTAL LTD
Active
Other names
SmileCity Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON V LAC D.M.D. (DENTIST)
(702) 672-0628
Entity
Organization
Contact information
Practice address
10170 W TROPICANA AVE, SUITE 155, LAS VEGAS, NV 89147-8465
(702) 248-0081
(702) 248-7123
Mailing address
10170 W TROPICANA AVE, SUITE 155, LAS VEGAS, NV 89147-8465
(702) 248-0081
(702) 248-7123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4561
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503172
—
NV
01
—
1606724
UNITED CONCORDIA
NV
Enumeration date
03/25/2009
Last updated
03/25/2009
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